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General NPI Number Information
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NPI Number | 1023976206
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Entity Type | Organization
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Legal Business Name | ASTORIA NY MEDICAL PC
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 2519 30TH DR STE 1L
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City | ASTORIA
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State | NY
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Zip | 11102-2701
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Country | US
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Telephone | 716-544-6858
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Fax |
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Provider Business Mailing Address
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Address Line | 2519 30TH DR STE 1L
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City | ASTORIA
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State | NY
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Zip | 11102-2701
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Country | US
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Telephone | 716-544-6858
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | USAMA MOHAMMED ABOELKHEIR
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Credential | MD
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Telephone | 716-544-6858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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